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  • Title: Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection.
    Author: Paci M, Annessi V, Giovanardi F, Ferrari G, De Franco S, Casali C, Sgarbi G.
    Journal: Surg Endosc; 2002 Mar; 16(3):509-11. PubMed ID: 11928038.
    Abstract:
    BACKGROUND: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) < or = 1 cm performed with a preoperative computed tomography-guided wire localization. METHODS: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. RESULTS: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbidity or morbidity. CONCLUSION: Preoperative computed tomography hook-wire localization is a suitable strategy for peripheral nodules < or = 1 cm in diameter.
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